ANDREW BALTAZAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223224

License Status

NOT RENEWED

Business

First Name

ANDREW

Last Name

BALTAZAR

Prefix

Business Name

ANDREW BALTAZAR

Original Issue Date

02/02/2014

Effective Date

02/02/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015